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General NPI Number Information
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NPI Number | 1376714519
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Entity Type | Individual
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Provider Name | SONY MATHEWS MD
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Gender | Male
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Dates
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Enumeration Date | 03/16/2008
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Last Update Date | 07/04/2014
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Provider Practice Location Address
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Address Line | 5236 W UNIVERSITY DR SUITE 3300
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City | MCKINNEY
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State | TX
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Zip | 75071-7889
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Country | US
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Telephone | 972-562-4430
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Fax | 972-529-2763
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Provider Business Mailing Address
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Address Line | PO BOX 35629
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City | DALLAS
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State | TX
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Zip | 75235-0629
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Country | US
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Telephone | 214-424-2213
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 002860
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 999999
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 065143
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License Number State | GA
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